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Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0-ballot - ballot United States of America flag

This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v3.0.0-ballot: STU 3 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.2.0. For a full list of available versions, see the Directory of published versions

Official URL: http://hl7.org/fhir/us/vrdr/ImplementationGuide/hl7.fhir.us.vrdr				Version: 3.0.0-ballot
Draft as of 2024-04-05				Computable Name: VRDR
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10

Overview
Authors

The version of VRDR in production use by NCHS and Jurisdictional Vital Records Offices is VRDR STU2.2.

Two types of changes are incorporated into VRDR STU3:

Minor additions to the VRDR STU2.2 specification along with minor improvements in documentation. The additions include support for linkages from maternal death records to associated fetal death or birth records, and support for exchange of coded industry and occupation data.
Refactoring of content driven by the harmonization of vital records FHIR Implementation Guides. This involves introduction of a dependency on the Vital Records Common Library FHIR IG and loosening some unnecessary constraints so that VRDR resources can be reused within the Medicolegal Death Investigation STU2 FHIR IG which is under development.

The process of bringing VRDR STU3 to ballot prior to publication of VRCL STU2 introduces the need for temporary incorporation of VRCL content developed since the ballot into VRDR STU3. This temporary artifacts are listed here. When published, VRDR STU3 will not include this content, and will refer to these resources defined in VRCL STU2.

See the change log for an updated list of changes.

Overview

The VRDR FHIR IG provides guidance regarding the use of FHIR resources as a conduit for data required in the bidirectional exchange of mortality data between Jurisdictional Vital Records Offices (JVRO) in the US and U.S territories and U.S. Centers for Disease Control and Prevention (CDC)/National Center for Health Statistics (NCHS).

Bidirectional exchange of mortality data between PHA Vital Records offices and NCHS is essential to effective public health surveillance and emergency response efforts. Automation of the reporting process adds efficiencies that dramatically improves the efficacy of event response, data analysis, and evidence-based measurable prevention of the causes of death.

The VRDR FHIR IG will provide guidance for the use of standard FHIR resources as a conduit for data required by vital records death reporting. The use of FHIR as a platform for automation of vital records death reporting is expected to improve existing automation by enabling wide-scale adoption and leveraging the potential of electronic health records and clinical decision support systems.

The VRDR FHIR IG will lay a foundation for expansion of automated standards-driven information exchange to include tributary flows of information from entities such as physicians, medical examiners, coroners, funeral directors, and family members to JVROs and between JVROs and secondary users of detailed mortality data and aggregate statistics.

This FHIR implementation guide is the primary work product of project #1475 “Vital Records Mortality and Morbidity Reporting FHIR IG” sponsored by the Health Level Seven (HL7) Public Health Work Group (PHWG).

The scope of the project is to produce and ballot a Standard for Trial Use (STU) Fast Healthcare Interoperability Resources (FHIR) implementation guide (IG) for use in reporting of death events to the U.S. National Center for Health Statistics (NCHS) by State and Local Public Health Agencies (PHA). The VRDR FHIR IG is based upon FHIR R4. The VRDR FHIR IG was successfully balloted as a standard for trial use (STU) in May 2019.

This is a U.S. Realm Specification. This guide and related materials are based on reporting specifications in U.S. jurisdictions. The data content of this IG are based upon the U.S. Standard Certificate of Death.

Authors

Name	Email/URL
HL7 International - Public Health	http://www.hl7.org/Special/committees/pher
Cynthia Bush, Health Scientist (Informatics), CDC/National Center for Health Statistics	pdz1@cdc.gov
Saul A. Kravitz, MITRE Corporation	saul@mitre.org

IG © 2022+ HL7 International / Public Health. Package hl7.fhir.us.vrdr#3.0.0-ballot based on FHIR 4.0.1. Generated 2024-04-05
Links: Table of Contents | QA Report | Version History | | Propose a change